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81 3-78MO20 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received 19 P60he,Cont;ictfor4Permlttl,nit-- jc� 41 D-1 S En S <br /> =&&L"..... ..... <br /> ........... ...... <br /> Ownses Name Lmylav Owner Phone Number <br /> Owner's AddreasPOOD w cqoye5s S-P Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 11 5awle, PMm - UCM4 LOT# C�� <br /> F_ <br /> SUBDIVISION PARCEL IDN 0 �D- Dceoz>-oa <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW'CONSTR,M- ADDIALT' SIGN DEMOLISH <br /> INSTALL F-1 - REPAIR <br /> PROPOSED-,USE - SFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION 0 -BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK.: N Ct�CV) n5irA L I <br /> BUILDING SIZE SO FOOTAGE'=, HEIGHT <br /> a a a 2 B a N 2 1 1 1 5 N 1 2 2 v <br /> =BUIILDING 1$ VALUATIOW00 TOTAL CONStfibCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> *PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS, 0 ROOFING .F__j SPECIALTY <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I I I I I I I H+f+f+H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L Y=N FEE CURREN <br /> Address License:# F 7— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE cuRREN, <br /> Address License#. <br /> ��V <br /> PLUMBER REGISTERED FEECURREt,_- <br /> SIGNATURE COMPAN Y <br /> Address 145(1. b(?-M 1 90. ucenie_�# Clqo)6A <br /> MECHANICAL <br /> COMPANY <br /> SIGNATURE REGISTERED., .1. Y/ N j FEE CURREN: <br /> Address: License# <br /> OTHER <br /> POP PANY <br /> SIGNATURE REGISTERED Y I N,..'.-1 .-FtEcukpl-h N <br /> Address F7 _7 License#;17 <br /> RESIDENTIAL,,, Attach(2);PIdf-_PI4his;` iefif of'Building'P a hi;',z i)set of narg V:f o!T 0;WO-4A I I'for new construction, <br /> -dat6'-*Required ohtif6,-66i��Oiins:-ttdi�iwatir'j n-s SI <br /> ,min' wl UF6ncelnstalled, <br /> Sanitary FacilitlesAl-Aufrips Work Permit for subdh49j9'hs�ar' 0'pibjebts"�., <br /> tar�,�Sllte,lari�i' � g <br /> cOMMORCIAL Attach BuIldifig"I' 'S'Olds*a Life Safety Page;(i)set of Energy Forms.R-OW Peffnitibr now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projdcft..AJI commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)set6 of Ehglj edr,,641 Plans.., <br /> "PROPERTY.SURVEY reauired for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500.a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agent(for the contractor)*or Power ofAttomey(for the'6wner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING ..(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Mon public roa�lways..needi ROW <br />